DOMINIQUE MICHELLE MANGANO MACK

GOODYEAR, AZ
NPI1639925191
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LAC-22735)
Enumeration Date2024-04-25
Last Update Date2024-05-01
Business Address
DOMINIQUE MICHELLE MANGANO MACK LAC
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395-2713
Phone number: 480-964-2273
Mailing Address
DOMINIQUE MICHELLE MANGANO MACK LAC
19819 W MARSHALL AVE
LITCHFIELD PARK, AZ 85340-5426
Phone number: 708-209-9952
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